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Article: Endovascular repair for abdominal aortic aneurysms: The first hundred cases
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TitleEndovascular repair for abdominal aortic aneurysms: The first hundred cases
 
AuthorsTing, ACW1
Cheng, SWK1
Ho, P1
Chan, YC1
Poon, JTC1
Yiu, WK1
Cheung, GCY1
 
KeywordsAortic aneurysm, abdominal
Aortic rupture
Treatment outcome
Vascular surgical procedures
 
Issue Date2008
 
PublisherHong Kong Medical Association. The Journal's web site is located at http://www.hkmj.org/resources/supp.html
 
CitationHong Kong Medical Journal, 2008, v. 14 n. 5, p. 361-364 [How to Cite?]
 
AbstractObjective: To evaluate the early and mid-term results of the first 100 elective endovascular repairs for abdominal aortic aneurysms. Design: Retrospective analysis of prospectively collected data. Setting: University teaching hospital, Hong Kong. Patients: The first 100 patients with infrarenal abdominal aortic aneurysms who underwent elective endovascular repair. Main outcome measures: Peri-operative data, mortality and morbidities as well as the follow-up details were recorded. Cumulative data on endoleaks, clinical failures, secondary procedures, and survival were evaluated with Kaplan-Meier analyses. Results: There were 85 men and 15 women, with a mean age of 75 (range, 50-90) years. Failed implantations due to access difficulty occurred in two patients during the same period, giving a technical success rate of 98%. The mean aneurysm diameter was 6.2 cm. Access site injury requiring repair occurred in four (4%) of the patients, while wound problems were the most common complications (11%). The median hospital stay was 6 days, and there were two hospital deaths, giving a hospital mortality rate of 2%. During a mean followup of 36 (standard deviation, 24) months, there were three aneurysmal ruptures and four elective open conversions, with only one aneurysm-related death after hospital discharge. At 3 years, the cumulative rates of freedom from any endoleak, freedom from primary failure, freedom from secondary failure, freedom from secondary procedures, and survival were 60%, 84%, 89%, 88%, and 78%, respectively. Conclusions: The early and mid-term results of elective endovascular repair for abdominal aortic aneurysms appear promising. The procedure is effective in preventing aneurysm-related death in the mid-term. Nevertheless, the importance of constant surveillance cannot be over-emphasised, as clinical failures and ruptures are still a concern.
 
ISSN1024-2708
2013 SCImago Journal Rankings: 0.293
 
ReferencesReferences in Scopus
 
DC FieldValue
dc.contributor.authorTing, ACW
 
dc.contributor.authorCheng, SWK
 
dc.contributor.authorHo, P
 
dc.contributor.authorChan, YC
 
dc.contributor.authorPoon, JTC
 
dc.contributor.authorYiu, WK
 
dc.contributor.authorCheung, GCY
 
dc.date.accessioned2010-05-31T04:00:31Z
 
dc.date.available2010-05-31T04:00:31Z
 
dc.date.issued2008
 
dc.description.abstractObjective: To evaluate the early and mid-term results of the first 100 elective endovascular repairs for abdominal aortic aneurysms. Design: Retrospective analysis of prospectively collected data. Setting: University teaching hospital, Hong Kong. Patients: The first 100 patients with infrarenal abdominal aortic aneurysms who underwent elective endovascular repair. Main outcome measures: Peri-operative data, mortality and morbidities as well as the follow-up details were recorded. Cumulative data on endoleaks, clinical failures, secondary procedures, and survival were evaluated with Kaplan-Meier analyses. Results: There were 85 men and 15 women, with a mean age of 75 (range, 50-90) years. Failed implantations due to access difficulty occurred in two patients during the same period, giving a technical success rate of 98%. The mean aneurysm diameter was 6.2 cm. Access site injury requiring repair occurred in four (4%) of the patients, while wound problems were the most common complications (11%). The median hospital stay was 6 days, and there were two hospital deaths, giving a hospital mortality rate of 2%. During a mean followup of 36 (standard deviation, 24) months, there were three aneurysmal ruptures and four elective open conversions, with only one aneurysm-related death after hospital discharge. At 3 years, the cumulative rates of freedom from any endoleak, freedom from primary failure, freedom from secondary failure, freedom from secondary procedures, and survival were 60%, 84%, 89%, 88%, and 78%, respectively. Conclusions: The early and mid-term results of elective endovascular repair for abdominal aortic aneurysms appear promising. The procedure is effective in preventing aneurysm-related death in the mid-term. Nevertheless, the importance of constant surveillance cannot be over-emphasised, as clinical failures and ruptures are still a concern.
 
dc.description.natureLink_to_subscribed_fulltext
 
dc.identifier.citationHong Kong Medical Journal, 2008, v. 14 n. 5, p. 361-364 [How to Cite?]
 
dc.identifier.epage364
 
dc.identifier.hkuros153557
 
dc.identifier.issn1024-2708
2013 SCImago Journal Rankings: 0.293
 
dc.identifier.issue5
 
dc.identifier.openurl
 
dc.identifier.pmid18840906
 
dc.identifier.scopuseid_2-s2.0-54249113387
 
dc.identifier.spage361
 
dc.identifier.urihttp://hdl.handle.net/10722/59938
 
dc.identifier.volume14
 
dc.languageeng
 
dc.publisherHong Kong Medical Association. The Journal's web site is located at http://www.hkmj.org/resources/supp.html
 
dc.publisher.placeHong Kong
 
dc.relation.ispartofHong Kong Medical Journal
 
dc.relation.referencesReferences in Scopus
 
dc.rightsHong Kong Medical Journal. Copyright © Hong Kong Medical Association.
 
dc.subject.meshAged
 
dc.subject.meshAged, 80 and over
 
dc.subject.meshAneurysm, Ruptured - epidemiology
 
dc.subject.meshAortic Aneurysm, Abdominal - surgery
 
dc.subject.meshBlood Vessel Prosthesis Implantation
 
dc.subject.meshFemale
 
dc.subject.meshFollow-Up Studies
 
dc.subject.meshHumans
 
dc.subject.meshLength of Stay
 
dc.subject.meshMale
 
dc.subject.meshMiddle Aged
 
dc.subject.meshPostoperative Complications
 
dc.subject.meshProspective Studies
 
dc.subject.meshRetrospective Studies
 
dc.subject.meshStents
 
dc.subject.meshTreatment Outcome
 
dc.subjectAortic aneurysm, abdominal
 
dc.subjectAortic rupture
 
dc.subjectTreatment outcome
 
dc.subjectVascular surgical procedures
 
dc.titleEndovascular repair for abdominal aortic aneurysms: The first hundred cases
 
dc.typeArticle
 
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Author Affiliations
  1. Queen Mary Hospital Hong Kong